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OncoMatch/Clinical Trials/NCT06815003

Vedolizumab Plus Post-transplant Cyclophosphamide and Short Course Tacrolimus for the Prevention of Graft Versus Host Disease in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation After Reduced Intensity Conditioning

Is NCT06815003 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for acute lymphoblastic leukemia.

Phase 2RecruitingCity of Hope Medical CenterNCT06815003Data as of May 2026

Treatment: Cyclophosphamide · Fludarabine · Melphalan · Tacrolimus · VedolizumabThis phase II trial studies how well vedolizumab plus post-transplant cyclophosphamide (PTCy) and short course tacrolimus work for the prevention of graft versus host disease (GVHD) in patients undergoing allogeneic hematopoietic cell transplantation (HCT) after reduced intensity conditioning. Allogeneic HCT is a procedure in which a person receives blood-forming stem cells (cells from which all blood cells develop) from a donor. Giving reduced conditioning chemotherapy before an allogeneic HCT helps kill cancer cells in the body and helps make room in the patient's bone marrow for new stem cells to grow using less than standard doses of chemotherapy. Sometimes, the transplanted cells from a donor can attack the body's normal cells (called graft-versus-host disease). Vedolizumab is a monoclonal antibody, which is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). It may reduce inflammation. Cyclophosphamide is in a class of medications called alkylating agents. It works by damaging the cell's deoxyribonucleic acid and may kill cancer cells. It may also lower the body's immune response. Tacrolimus suppresses the immune system by preventing the activation of certain types of immune cells. Giving vedolizumab plus PTCy and short course tacrolimus may be effective at preventing GVHD after allogeneic HCT.

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Acute Myeloid Leukemia

Myelodysplastic Syndrome

Myeloproliferative Neoplasm

Prior therapy

Cannot have received: allogeneic hematopoietic cell transplantation

Prior allogeneic HCT

Cannot have received: chemotherapy

Exception: conditioning regimen within 14 days prior to day 1 of protocol therapy is not considered as an exclusion criterion; patients on maintenance chemotherapy with agents listed are not excluded

Chemotherapy, radiation therapy, biological therapy, immunotherapy within 14 days prior to day 1 of protocol therapy

Cannot have received: radiation therapy

Exception: conditioning regimen within 14 days prior to day 1 of protocol therapy is not considered as an exclusion criterion; patients on maintenance chemotherapy with agents listed are not excluded

Chemotherapy, radiation therapy, biological therapy, immunotherapy within 14 days prior to day 1 of protocol therapy

Cannot have received: biological therapy

Exception: conditioning regimen within 14 days prior to day 1 of protocol therapy is not considered as an exclusion criterion; patients on maintenance chemotherapy with agents listed are not excluded

Chemotherapy, radiation therapy, biological therapy, immunotherapy within 14 days prior to day 1 of protocol therapy

Cannot have received: immunotherapy

Exception: conditioning regimen within 14 days prior to day 1 of protocol therapy is not considered as an exclusion criterion; patients on maintenance chemotherapy with agents listed are not excluded

Chemotherapy, radiation therapy, biological therapy, immunotherapy within 14 days prior to day 1 of protocol therapy

Cannot have received: investigational drug for GVHD prophylaxis

Other investigational drugs for GVHD prophylaxis

Lab requirements

Blood counts

Hemoglobin ≥ 9g/dL (no RBC transfusion within 14 days unless cytopenia is secondary to disease involvement)

Kidney function

Creatinine clearance of ≤ 1.5 mg/dL or ≥ 60 mL/min per 24 hour urine test or Cockcroft-Gault formula

Liver function

Total bilirubin ≤ 2.0 mg/dL (unless has Gilbert's disease) AND SGOT and SGPT < 5x ULN; AST ≤ 3.0 x ULN; ALT ≤ 3.0 x ULN

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 50%

Hemoglobin ≥ 9g/dL (within 30 days prior to day 1 of protocol therapy) Total bilirubin ≤ 2.0 mg/dL (unless has Gilbert's disease) AND SGOT and SGPT < 5x ULN (within 30 days prior to day 1 of protocol therapy) AST ≤ 3.0 x ULN (within 30 days prior to day 1 of protocol therapy) ALT ≤ 3.0 x ULN (within 30 days prior to day 1 of protocol therapy) Creatinine clearance of ≤ 1.5 mg/dL or ≥ 60 mL/min per 24 hour urine test or Cockcroft-Gault formula (within 30 days prior to day 1 of protocol therapy) Left ventricular ejection fraction (LVEF) ≥ 50%

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope Medical Center · Duarte, California

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